Job detail

Patient Access Services Representative II - Patient Fin. Counseling - Per Diem - Shift

Kern Medical

#HIPAA #Medicare #Co-pay Collection #Financial Counseling #Registration #Authorization #Per Diem #Demographics #Eligibility

Quick overview

This role involves greeting patients, scheduling appointments, assembling required registration data, verifying insurance, and collecting patient financial responsibilities like co-pays at admission. Responsibilities also include assessing eligibility for state-funded programs and providing information on available funding resources.

Requirements summary

Candidates need a High School diploma or GED plus one year of patient access experience, or an equivalent combination of education and training. Required knowledge includes state/federal funding programs, commercial insurance payers, billing guidelines, medical terminology, and HIPAA compliance practices.

high schoolCustomer ServiceHIPAA ComplianceSchedulingMedical TerminologyData EntryInsurance VerificationPatient RegistrationFinancial CounselingAuthorizationCo-pay CollectionDemographic Information EntryRevenue Cycle CollaborationMedi-CalCharity Care AssessmentState-Funded Programs Eligibility

Job description

Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year.
Per Diem employees supplement department staffing needs, with no guarantee of minimum hours.
Per Diem minimum scheduling expectation is four (4) shifts per four-week schedule.

Position

Patient Access Services Representative II - Per Diem

Distinguishing Characteristics

The Per Diem Patient Access Services Representative Incumbents have hospital/healthcare knowledge or experience, and are expected to gain specific knowledge of the importance of patient and insurance demographic information and the availability of payment options. Assignments may be made in registration/admitting, financial counseling, or related patient access areas.

Essential Functions

Greets patients, reviews process, and schedules appointments for exam or follow-up.
Assembles all data and documents required for complete patient registration, including, but not limited to pre-admission, admission, pre-registration, and registration functions; completes all insurance verifications and authorizations.
Enters all patient demographic information into STAR system; uses other department applications for eligibility and authorization.
Assesses patient financial responsibility and collects co-pay, co-insurance, out of pocket, share of costs, and/or deductibles at time of admission.
Screens admissions and informs referring physician offices, patients and their families about hospital policies and procedures regarding method of payment source for services rendered.
Interviews patients at the workstation and/or at the bedside to determine possible eligibility for state-funded programs.

Essential Functions (continued)

Obtains and documents funding information from patients and provides information on available funding resources; obtains funding for patients in the statuses of scheduling, pre-registration, registration, or post registration as assigned.
Uses payer resources and websites to explore and assess eligibility; initiates referrals for Medi-Cal, CMS, CCS, and KMCHP; administers KMC Financial Assistance Policy and Procedures to determine patient eligibility for discounted prices or charity care.

Patient Access Services Representative II - Patient Fin. Counseling - Per Diem - Shift

Quick overview

Requirements summary

Job description

Position

Distinguishing Characteristics

Essential Functions

Essential Functions (continued)

Other Functions

Employment Standards

Knowledge of

Ability to

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